Tonsil Diseases and Surgery

DOÇ. DR. OSMAN HALİT ÇAM

Tonsil Diseases

Tonsils (tonsils) consist of two lymphatic tissues located on both sides of the root of the tongue in the throat. They are part of the immune system and stimulate the immune system and provide the first response to germs taken by mouth.

WHEN IS SURGICAL INTERVENTION REQUIRED?

There are two basic criteria for surgical intervention to the tonsils. These can be separate criteria or their presence alone is sufficient for surgical intervention. These are

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1.

Tonsils may become large enough to affect breathing and feeding and may mimic adenoid symptoms. In this case, the tonsils should be intervened together with the adenoid in order to continue the healthy development of the child and to prevent apnoea. If the tonsils are extremely large, it may be a surgical option to reduce the tonsils instead of removing them.

2.

Another condition that requires removal of the tonsils is recurrent throat infections. In the case of recurrent tonsil infections (4 infections in a year or 7 infections in two years), the size of the tonsils does not matter and they should be removed even if the tonsils are small.

WHY SURGERY?

When deciding on the operation, of course, the balance of benefit and harm is taken into consideration. For this reason, if the operation is on the agenda, it means that the harms have started to overshadow the benefits. Removal of tonsils in the presence of chronic infection will prevent the child from frequent tonsil infections and reduce the complications of infections (convulsions, acute rheumatic fever, acute poststreptococcal glomerulonephritis). It will also reduce the continuous use of medication due to these infections.

All children who will have tonsillectomy should be evaluated for adenoids at or before the operation, and vice versa is not always true.

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